HOW DO WE EAT?

“THE PREVENTION OF CHILDHOOD OBESITY PROJECT in
schoolchildren in Barcelona
HOW DO WE
EAT?
A questionnaire for 9 to 10-year-olds
(part I)
The questions in this questionnaire ask about the food items eaten by girls and boys of
your age. Your responses will help us to know more about schoolchildren in the city of
Barcelona.
Read each question very carefully.
This is not an exam, and there are no good or bad answers. All you have to do is give
us your opinion, but it’s very important that you say what you think and are not
influenced by your classmates’ answers or by the answers you think would please your
teachers.
NI # ______________
To begin with, some questions about you:
1. Are you a girl or a boy? Put a cross in the correct box:
Boy
Girl
2. What is your date of birth?
Day: ___ Month: ___________ Year: ____
3. How old are you?
_____ years
4. How many people live in your home? (count yourself as well).
Number of people: ________
5. Who lives in your home? Put a cross in the boxes next to each of the
people living in your home.
Mother
Father
Grandmother
Grandfather
My mother’s partner .......
My father’s partner
Adoptive mother and/or adoptive father
Brother (brothers)
Sister (sisters)
Others. Say who: _______________________________
6. Does your family have a car, van or lorry? Mark your response:
No
Yes, one
Yes, two or
more
7. Do you have a room to yourself? Mark your response:
No
Yes
8. In the last 12 months, how many times have you gone on holiday with
your family? Mark your response:
Never
Once
Twice
More than
twice
9. How many computers does your family have? Mark your response:
None
1
2
More than 2
The following questions ask about what you eat. Read each question carefully before
answering:
FREQUENCY OF MEALS
10. Which of the following meals do you have every day or nearly every day?
You can mark more than one answer:
Breakfast before classes start (at home or at school)
Mid-morning snack (break time)
Lunch
Mid-afternoon snack
Dinner
DURING MEALS
11-0 Do you have breakfast?
Yes
No
Who do you eat with on week days (from Monday to Friday)? You can mark
more than one answer:
11. Breakfast
(before starting classes, both if you have breakfast at home and if you have it at
school)
Mother
Father
Brother/sister
Grandmother/grandfather
Schoolmates
Nobody
Others, say who: __________
12. Lunch
Mother
Father
Brother/sister
Grandmother/grandfather
Friends
Other children in the dining hall
Nobody
Others, say who: __________
13. Dinner
Mother
Father
Brother/sister
Grandmother/grandfather
Friends
Nobody
Others, say who: __________
14. During DINNER, do you watch television or are you in front of a screen?
(computer, Nintendo®, PlayStation®, Xbox®, GameBoy®, Nintendo DS®,
etc.). Mark a response:
Almost never /
never
Sometimes
Almost always
Yes, always
BREAKFAST
15. Do you have breakfast seated at a table before starting classes? Mark a
response:
Never /
practically
never
Sometimes
Almost every
day
Yes, always
If you have answered “I never have breakfast before starting classes”, go to
question 17.
16. Mark with a cross the foods you eat for breakfast before starting classes.
You can mark more than one response:
Milk (alone, with cocoa,...), milkshakes (Cacaolat®, Colacao Energy®, etc.),
yoghurt, Actimel®, Dan-Up®, Danonino®, etc.
Cereals
Sandwich or toast
Pastries (biscuits, croissants, buns, Donuts®, Bollycao®, cupcakes, etc.)
Piece of fruit (apple, pear, orange, mandarins, banana, etc.)
Fruit juice
Water
Soft drinks (Coca-cola®, Pepsi®, Fanta®, Seven up®, Sunny Delight®,
Nestea®, etc).
Others, say which: ______________
17. Mark with a cross the foods you eat as a snack during the mid-morning
break. You can mark more than one response:
Milk (alone, with cocoa,...), milkshakes (Cacaolat®, Colacao Energy®, etc.),
yoghurt, Actimel®, Dan-Up®, Danonino®, etc.
Cereals
Sandwich or toast
Confectionary (biscuits, croissants, buns, Donuts®, Bollycao®, cupcakes,
etc.)
Piece of fruit (apple, pear, orange, mandarins, banana, etc.)
Fruit juice
Water
Soft drinks (Coca-cola®, Pepsi®, Fanta®, Seven up®, Sunny Delight®,
Nestea®, etc).
Others, say which: ______________
Nothing
HOW OFTEN DO YOU EAT THESE FOODS? DO YOU LIKE THESE FOODS?
18. Do you usually drink water during meals (lunch, dinner, etc.)?
Almost never /
never
Sometimes
Almost always
/ always
19. How often do you eat bread? (breadstick, sliced white bread like pan
Bimbo®, pitta bread, Arabic bread, Mexican flatbread, toast, etc.). Mark a
response:
Less than once Between 1 and Between 1 and
a month
3 times a month 6 times a week
Once a day
2 or more times
a day
20. Do you like bread? Mark a response:
Not much /
not at all
A little
Quite a lot / a
lot
21. How often do you eat potatoes (baked or boiled), yuca or plantain
banana? (don’t include potato chips or crisps). Mark a response:
Less than once Between 1 and Between 1 and
a month
3 times a month 6 times a week
Once a day
2 or more times
a day
22. Do you like potatoes (baked or boiled potatoes), yuca and plantain
banana? (Don´t include potato chips or crisps). Mark a response:
Not much /
not at all
A little
Quite a lot / a
lot
23. How often do you eat rice? Mark a response:
Less than once Between 1 and Between 1 and
a month
3 times a month 6 times a week
Once a day
2 or more times
a day
24. Do you like rice? Mark a response:
Not much /
not at all
A little
Quite a lot / a
lot
25. How often do you eat pasta? (macaroni, spaghetti, noodles in soup, etc.
etc.). Mark a response:
Less than once
a month
Between 1 and
3 times
a month
Between 1 and
6 times a week
26. Do you like pasta? Mark a response:
Not much /
not at all
A little
Quite a lot
or a lot
Once a day
2 or more times
a day
27. How often do you eat cereals? (breakfast cereals, couscous, corn, etc.).
Mark a response:
Less than once
a month
Between 1 and
3 times
a month
Between 1 and
6 times a week
Once
a day
2 or more times
a day
28. Do you like cereals? Mark a response:
Not much /
not at all
A little
Quite a lot /
a lot
29. How often do you eat cooked vegetables (spinach, aubergine, broccoli,
cauliflower, green beans, etc.), raw vegetables or salads (lettuce, tomato,
carrot, green and red pepper, onion, etc.) or vegetable puree, creamed
vegetables or vegetable omelette? Mark a response:
Never /
less than
once a
month
Between
1 and 3
times a
month
Between
1 and 3
times a
week
Between
4 and 6
times a
week
Once
a day
Twice
a day
3 or more
times
a day
30. Do you like vegetables? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
31. How often do you eat fruit? (apple, pear, orange, banana, melon, papaya
fruit, dates, apricots, fruit salad, etc.). Mark a response:
Never /
less than
once a
month
Between
1 and 3
times a
month
Between
1 and 3
times a
week
Between
4 and 6
times a
week
32. Do you like fruit? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
Once
a day
Twice
a day
3 or more
times
a day
33. How often do you drink fruit juice? Mark a response:
Never /
less than
once a
month
Between
1 and 3
times a
month
Between
1 and 3
times a
week
Between
4 and 6
times a
week
Once
a day
Twice
a day
3 or more
times
a day
34. Do you like fruit juices? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
35. How often do you have dairy products? Milk alone, milk with cocoa, milk
with cereals, milk shakes (Cacaolat®, Colacao Energy®, etc.), yoghurt,
Danonino®, Actimel®, Dan-Up®, cheese (Babybel®, Vaca que ríe®, grated
cheese, etc.), etc.
Mark a response:
Never /
less than
once a
month
Between
1 and 3
times a
month
Between
1 and 3
times a
week
Between
4 and 6
times a
week
Once
a day
Twice
a day
3 or more
times
a day
36. Do you like dairy products? Mark a response:
Not much or
not at all
A little
Quite a lot
or a lot
37. How often do you eat legumes? (white beans, lentils, chickpeas, peas,
beans, frijoles, dhal, etc.). Mark a response:
Never / less
than once a
month
Between
1 and 3 times a
month
Once
a week
Twice
a week
3 or more times
a week
38. Do you like legumes? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
39. How often do you eat meat? (chicken, turkey, rabbit, pork, beef, sausages,
hamburgers, boiled ham, cured ham etc.). Mark a response:
Never / less
than once a
month
Between
1 and 3 times a
month
Once
a week
Twice
a week
3 or more times
a week
40. Do you like meat? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
41. How often do you eat fish? (hake, cod, sardines, prawns, salmon,
cuttlefish, anchovies, canned tuna, canned sardines, etc.). Mark a
response:
Never / less
than once a
month
Between
1 and 3 times a
month
Once
a week
Twice
a week
3 or more times
a week
42. Do you like fish? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
43. How often do you eat eggs? (omelette, fried egg, boiled egg, etc.). Mark a
response:
Never / less
than once a
month
Between
1 and 3 times a
month
Once
a week
Twice
a week
3 or more times
a week
44. Do you like eggs? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
45. How often do you eat nuts? (almonds, hazelnuts, walnuts, pistachios,
peanuts etc.). Mark a response:
Never / less
than once a
month
Between
1 and 3 times a
month
Once
a week
46. Do you like nuts? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
Twice
a week
3 or more times
a week
DO YOU EAT OR DRINK ANY OF THESE OTHER FOODS OR DRINKS?
47. How often do you drink soft drinks? (Coca-cola®, Fanta®, Aquarius®,
Nestea®, etc.). Mark a response:
Never/ less
than once a
month
Between
1 and 3 times
a month
Between 1 and
6 times a week
Once
a day
2 or more times
a day
48. Do you like soft drinks? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
49. How often do you eat potato crisps? Mark a response:
Never / less
than once a
month
Between
1 and 3 times
a month
Between 1 and
6 times a week
Once
a day
2 or more times
a day
50. Do you like potato crisps?
Not much /
not at all
A little
Quite a lot
/ a lot
51. How often do you eat corn sticks, popcorn, corn puffs, etc.? Mark a
response:
Never / less
than once a
month
Between
1 and 3 times
a month
Between 1 and
6 times a week
Once
a day
2 or more times
a day
52. Do you like corn sticks, popcorn, corn puffs, etc.? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
53. How often do you eat milk desserts (flan, custard, caramel cream, ice
cream, etc.)? Mark a response:
Never / less
than once a
month
Between
1 and 3 times
a month
Between 1 and
6 times a week
Once
a day
2 or more times
a day
54. Do you like milk desserts? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
55. How often do you eat pastries? (biscuits, croissants, buns, Donuts®,
Bollycao®, cupcakes, milk bread, etc.). Mark a response:
Never / less
than once a
month
Between
1 and 3 times
a month
Between 1 and
6 times a week
Once
a day
2 or more times
a day
56. Do you like pastries? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
57. How often do you eat sweets? Sweets, chewing gum, jellies, chocolate
(chocolates, Nutella®, etc.), ice lollies, flig-flags, etc.
Mark a response:
Never / less
than once a
month
Between
1 and 3 times
a month
Once
a week
Twice
a week
3 or more times
a week
58. Do you like sweets? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
59. How often do you eat cold meat? (longaniza sausage, salami, mortadella
sausage, bacon, etc.). Don’t include boiled ham or cured ham. Mark a
response:
Never / less
than once a
month
Between
1 and 3 times
a month
Once
a week
Twice
a week
3 to 6 times
a week
Every day
60. Do you like cold meat? Mark a response:
Not much /
not at all
A little
Quite a lot
/ a lot
DO YOU EAT OUT ?
61. How often do you go to fast-food restaurants? (McDonalds®, Burger
King®, Kentucky®, Telepizza®, doner kebab, frankfurt, etc.) Mark a
response:
Never
Sometimes
1 or more
times a week
62. How often do you go to restaurants? Don’t include fast-food restaurants.
Mark a response:
Never
Sometimes
1 or more
times a week
WHAT DO YOU KNOW ABOUT THE FOLLOWING FOODS...
63. Which of these food groups should you have the most servings of per
day? Mark a response:
Bread, cereals, rice, pasta
Dairy (milk, cheese, yoghurt, etc.)
Confectionary (Biscuits, croissants, etc.), sweets
Fruits
Meat, fish, eggs, nuts
Vegetables
Don’t know
64. Which of these food groups should you have the least servings of per
day? Mark a response:
Bread, cereals, rice pasta
Dairy (milk, cheese, yoghurt, etc.)
Confectionary (biscuits, croissants, etc.), sweets
Fruits
Meat, fish, eggs, nuts
Vegetables
Don’t know
65. How many times a day should you eat fruit and vegetables? Mark a
response:
Never
Once
Twice
3 times
4 times
5 times
Don’t know
66. Can what you eat make you ill when you’re older (heart disease, cancer
etc.)? Mark a response:
Yes
No
Don’t know
67. Do people who weigh more than they should have more health problems
than other people? Mark a response:
Yes
No
Don’t know
WHAT DO YOU THINK OF THE FOLLOWING STATEMENTS ?
68. What I eat and drink at the moment is good for my health. Mark a
response:
Yes, always
Yes, sometimes
No
69. When you skip breakfast, does it make it more difficult to follow your
classes and understand the teachers’ explanations? Mark a response:
Almost never /
never
Sometimes
Almost always
/ always
70. Do you like to try new food? Mark a response:
Almost never /
never
Sometimes
Almost always
/ always
71. Do you have lunch at school?
Every day
On certain
days of the
week
Sometimes
Never
72. Special situations. Mark a response if any of the following statements are
true of you. If not, leave blank:
I’m vegetarian
Gluten allergy
Lactose allergy
Nut allergy
Diabetes
Others, specify: ______________________
If you eat at school, answer the next 3 questions. If you don’t eat at school, leave
questions 73, 74 and 75 blank, and you have finished the questionnaire.
73. Do you finish what you are given as school lunch? Mark a response:
Almost never /
never
Sometimes
Almost always
/ always
74. Is the school lunch good for you ? Mark a response:
Almost never /
never
Sometimes
Almost always
/ always
75. Do you like the school lunch? Mark a response:
Almost never /
never
Sometimes
Almost always
/ always
THANK YOU VERY MUCH FOR YOUR HELP !